Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Misty Sullivan, MED

Individual provider Clinical Psychologist · NPI 1235476763

Misty Sullivan, MED is a Clinical Psychologist in Louisville, Kentucky. Licensed in Kentucky. Registered with an NPI since 2013.

Licensed in
KY
In the registry since
2013
What do these letters mean?
MED — Master of Education
A graduate education degree, written M.Ed.

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Practice location Address checks out

1512 Baxter Ave
Louisville, KY 40205-1009
Phone: (502) 262-2887
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 166372 (KY)

Record details

NPI number1235476763
Entity typeIndividual (Type 1)
GenderFemale
Credentials MED
Sole proprietorNo
NPI enumeratedJanuary 3, 2013
Last updated in NPPESJanuary 30, 2017

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